How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $181.97 Median $346.74 Typical High $3,311.31 | Facility | None | $181.97 | $346.74 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $190.55 Typical High $239.88 | Professional | None (both parts) | $181.97 | $190.55 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $51.29 Typical High $64.57 | Professional | 26 · Professional part | $47.86 | $51.29 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $138.04 Typical High $173.78 | Professional | TC · Technical part | $134.90 | $138.04 | $173.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $104.71 Median $128.82 Typical High $154.88 | Professional | None (both parts) | $104.71 | $128.82 | $154.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $61.66 | Professional | 26 · Professional part | $37.15 | $44.67 | $61.66 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $91.20 | $91.20 | $91.20 |
BCBS Louisiana Setting Facility Modifier None Typical Low $151.36 Median $302.00 Typical High $501.19 | Facility | None | $151.36 | $302.00 | $501.19 |
BCBS Louisiana Setting Professional Modifier None (both parts) Typical Low $154.88 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $154.88 | $158.49 | $158.49 |
BCBS Louisiana Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $45.71 | $48.98 | $48.98 |
BCBS Louisiana Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $112.20 Typical High $112.20 | Professional | TC · Technical part | $107.15 | $112.20 | $112.20 |
Christus Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $56.23 | $56.23 | $56.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $120.23 Typical High $263.03 | Professional | None (both parts) | $112.20 | $120.23 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.02 Typical High $74.13 | Professional | 26 · Professional part | $36.31 | $38.02 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $83.18 Typical High $181.97 | Professional | TC · Technical part | $77.62 | $83.18 | $181.97 |
United Setting Facility Modifier None Typical Low $245.47 Median $323.59 Typical High $602.56 | Facility | None | $245.47 | $323.59 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $186.21 Typical High $302.00 | Professional | None (both parts) | $138.04 | $186.21 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $52.48 Typical High $81.28 | Professional | 26 · Professional part | $37.15 | $52.48 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $131.83 Typical High $213.80 | Professional | TC · Technical part | $100.00 | $131.83 | $213.80 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $26.30 | $32.36 | $32.36 |
Where Louisiana sits
The same service costs 3.3 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Louisiana· 39th of 51
$158
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.